NPI | 1205808748 |
---|---|
Doing Business As | AVERA MEDICAL GROUP MATERNAL FETAL MEDICINE SIOUX FALLS |
Entity Type | Organization |
Authorized Contact | DAVID FLICEK CEO/President 605-322-8000 |
Organization Subpart ? | No |
Primary Taxonomy | 207VM0101X Obstetrics & Gynecology Maternal & Fetal Medicine |
Enumeration Date | 2006-02-07 |
Last Update Date | 2018-10-24 |